- Title
- Individual preferences for COVID-19 vaccination in China
- Creator
- Leng, Anli; Maitland, Elizabeth; Wang, Siyuan; Nicholas, Stephen; Liu, Rugang; Wang, Jian
- Relation
- Vaccine Vol. 39, Issue 2, p. 247-254
- Publisher Link
- http://dx.doi.org/10.1016/j.vaccine.2020.12.009
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2021
- Description
- Background: Vaccinations are an effective choice to stop disease outbreaks, including COVID-19. There is little research on individuals' COVID-19 vaccination decision-making. Objective: We aimed to determine individual preferences for COVID-19 vaccinations in China, and to assess the factors influencing vaccination decision-making to facilitate vaccination coverage. Methods: A D-efficient discrete choice experiment was conducted across six Chinese provinces selected by the stratified random sampling method. Vaccine choice sets were constructed using seven attributes: vaccine effectiveness, side-effects, accessibility, number of doses, vaccination sites, duration of vaccine protection, and proportion of acquaintances vaccinated. Conditional logit and latent class models were used to identify preferences. Results: Although all seven attributes were proved to significantly influence respondents’ vaccination decision, vaccine effectiveness, side-effects and proportion of acquaintances vaccinated were the most important. We also found a higher probability of vaccinating when the vaccine was more effective; risks of serious side effects were small; vaccinations were free and voluntary; the fewer the number of doses; the longer the protection duration; and the higher the proportion of acquaintances vaccinated. Higher local vaccine coverage created altruistic herd incentives to vaccinate rather than free-rider problems. The predicted vaccination uptake of the optimal vaccination scenario in our study was 84.77%. Preference heterogeneity was substantial. Individuals who were older, had a lower education level, lower income, higher trust in the vaccine and higher perceived risk of infection, displayed a higher probability to vaccinate. Conclusions: Preference heterogeneity among individuals should lead health authorities to address the diversity of expectations about COVID-19 vaccinations. To maximize COVID-19 vaccine uptake, health authorities should promote vaccine effectiveness; pro-actively communicate the absence or presence of vaccine side effects; and ensure rapid and wide media communication about local vaccine coverage.
- Subject
- COVID-19; preference; vaccine; health policy; Sustainable Development Goals; SDG 7; SDG 3
- Identifier
- http://hdl.handle.net/1959.13/1426250
- Identifier
- uon:38388
- Identifier
- ISSN:0264-410X
- Rights
- © 2020 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
- Language
- eng
- Full Text
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Goal 3: Good Health and Well-Being
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